Transcranial direct-current stimulation (tDCS) is a non-invasive neuromodulation technique which aims to modify cortical excitability using large surface-area electrodes. tDCS is thought to increase (anodal, a-tDCS) or decrease (cathodal, c-tDCS) cortical excitability.
At present, there is no consensus as to whether tDCS to primary somatosensory cortex (S1) modifies somatosensory perception. This study examined vibrotactile perception (frequency, 20 Hz, various amplitude) on the middle finger before, during and after contralateral S1 tDCS (a-, c- and sham, s-). The experiments tested our shift-gain hypothesis which predicted that a-tDCS would decrease vibrotactile detection and discrimination thresholds (leftward shift of the stimulus-response function with increased gain/slope), while c-tDCS would increase thresholds (shift to right; decreased gain).
The results showed that weak, a-tDCS (1 mA, 20 min), compared to sham, led to a reduction in both thresholds during the application of the stimulation in a majority of subjects. These effects persisted after the end of a-tDCS, but were absent 30 min later. Cathodal tDCS, vs sham, had no effect on detection thresholds; in contrast, there was a decrease in discrimination threshold during but not after c-tDCS. The results thus supported our hypothesis, but only for anodal stimulation.
Our observation that enhanced vibrotactile perception outlasts, albeit briefly, the period of a-tDCS is encouraging. Future experiments should determine whether repeated sessions of a-tDCS can produce longer lasting improvements. If yes, clinical applications could be envisaged, e.g. to apply a-tDCS to S1 in conjunction with retraining of sensory function post-stroke.